Organization Active NPI

Redbird Wellness, P.a

  • Chiropractor
  • Hopkins, MN
National Provider Identifier
1679534812
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
REDBIRD WELLNESS, P.A
Doing business as
Redbird Wellness
Practice address
7900 Excelsior Blvd Ste 100
Hopkins, MN 55343-3446
Phone
(952) 931-9867
Fax
(952) 931-9868
NPI assigned
Mar 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shawn David Halliday, DCNPI 1386194918
Title
President
Phone
(952) 931-9867

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

7900 Excelsior Blvd Ste 100
Hopkins, MN 55343-3446

Mailing address

7900 Excelsior Blvd Ste 100
Hopkins, MN 55343-3446
Phone (952) 931-9867

Other identifiers 1

IdentifierTypeStateIssuer
001672100MedicaidMN

Other names 1

  • Redbird Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100506000066 MN Part B Supplier - Clinic/Group Practice 6507994951 Receives reassigned benefits from 1 practitioner
Practice locations: Hopkins, MN

National Provider Directory

National Provider Directory

Locations

7900 Excelsior Blvd
Ste 100
Hopkins, MN 55343
Phone (952) 931-9867

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1679534812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 EXCELSIOR BLVD STE 100",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553433446",
            "telephone_number": "952-931-9867",
            "fax_number": "952-931-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 EXCELSIOR BLVD STE 100",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553433446",
            "telephone_number": "952-931-9867",
            "fax_number": "952-931-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDBIRD WELLNESS, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "HALLIDAY",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-931-9867",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001672100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redbird Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hopkins, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.